{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:51:55Z","timestamp":1747187515480,"version":"3.40.5"},"reference-count":22,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,10,15]],"date-time":"2020-10-15T00:00:00Z","timestamp":1602720000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Recent studies in adults have shown that routine chest X\u2010ray following ultrasound\u2010guided central venous catheter insertion through the internal jugular vein is unnecessary due to a low rate of complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To assess the usefulness of routine chest X\u2010ray following ultrasound\u2010guided central venous catheter insertion through the internal jugular veins in critically ill children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective observational study was conducted at a pediatric intensive care unit of a tertiary, university\u2010affiliated pediatric medical center. All children under the age of 18 who underwent ultrasound\u2010guided central venous catheter insertion through the right or left internal jugular vein between May 2018 and November 2019 were evaluated for eligibility. Procedures were prospectively documented, and chest X\u2010ray was screened for pneumothorax, hemothorax, central venous catheter tip position, and resultant corrective interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 105 central venous catheter insertion attempts, 99 central venous catheters (94.3%) were inserted. All were located within the venous system. None were diagnosed with pneumo\/hemothorax on chest X\u2010ray. Twenty (20.2%; 95% CI 12.8%\u201029.5%) were defined as malpositioned by strict criteria; however, only one (1%) was judged significantly misplaced by the clinical team leading to its repositioning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this critically ill pediatric cohort, all central venous catheters inserted under ultrasound guidance could have been used with safety prior to acquiring chest X\u2010ray. Overall chest X\u2010ray impacted patient management in only 1% of cases. Our results do not support delaying urgent central venous catheter use pending chest X\u2010ray completion in critically ill children.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.14030","type":"journal-article","created":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T19:48:27Z","timestamp":1601495307000},"page":"1378-1383","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Routine chest X\u2010ray following ultrasound\u2010guided internal jugular vein catheterization in critically ill children: A prospective observational Study"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1754-9396","authenticated-orcid":false,"given":"Avichai","family":"Weissbach","sequence":"first","affiliation":[{"name":"Pediatric Intensive Care Unit Schneider Children\u2019s Medical Center of Israel Petach Tikva Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yulia","family":"Gendler","sequence":"additional","affiliation":[{"name":"Institute of Pediatric Pulmonology Schneider Children\u2019s Medical Center of Israel Petach Tikva Israel"},{"name":"Department of Nursing Ariel University Ariel Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaniv","family":"Lakovsky","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"},{"name":"Department of Imaging Schneider Children\u2019s Medical Center of Israel Petach Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gili","family":"Kadmon","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit Schneider Children\u2019s Medical Center of Israel Petach Tikva Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elhanan","family":"Nahum","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit Schneider Children\u2019s Medical Center of Israel Petach Tikva Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0767-2294","authenticated-orcid":false,"given":"Eytan","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit Schneider Children\u2019s Medical Center of Israel Petach Tikva Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0885066614541407"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00130478-200101000-00012"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31819b570e"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-017-4985-8"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/pr.2016.74"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31823c9569"},{"key":"e_1_2_8_8_1","unstructured":"Guidance on the use of ultrasound locating devices for placing central venous catheters.Technology appraisal guidance [TA 49]. 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